Individual
EMILY N BOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158-1227
(800) 857-5000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(803) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13970-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239298
—
WI
Enumeration date
05/12/2023
Last updated
06/01/2026
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